Provider Demographics
NPI:1477613511
Name:JORGENSEN, NANCY JANE (RN,MS,WHNP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:JANE
Last Name:JORGENSEN
Suffix:
Gender:F
Credentials:RN,MS,WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 N SCOTTSDALE RD
Mailing Address - Street 2:SUITE 280
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-5648
Mailing Address - Country:US
Mailing Address - Phone:480-945-6583
Mailing Address - Fax:480-423-6829
Practice Address - Street 1:3501 N SCOTTSDALE RD
Practice Address - Street 2:SUITE 280
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-5648
Practice Address - Country:US
Practice Address - Phone:480-945-6583
Practice Address - Fax:480-423-6829
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN102721163WW0101X
AZAP1563363LW0102X, 363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAP1563OtherNP LICENSE
AZRN102721OtherLICENSE
AZMJ0823737OtherDEA